Measuring and improving quality in obstetrics - The implementation of national indicators in Denmark

Acta Obstetricia et Gynecologica Scandinavica

Volumn 90, Issue 4, 2011, Pages 295-304

  Kesmodel, Ulrik Schiã̃ler ^a,b   Jã̃lving, Line Riis ^c  

^a AARHUS UNIVERSITY HOSPITAL   (Denmark)

^b AARHUS UNIVERSITY   (Denmark)

^c National Indicator Project   (Denmark)

Author keywords

Birth; evidence; evidence based; pregnancy; quality assessment; quality improvement

Indexed keywords

ANALGESIA; ANESTHESIA; ARTICLE; CESAREAN SECTION; CLINICAL INDICATOR; DELIVERY; DENMARK; FEMALE; FETUS HYPOXIA; HEALTH CARE QUALITY; HUMAN; LABOR SUPPORT; LACERATION; MOTHER CHILD RELATION; OBSTETRICS; PATIENT SAFETY; POSTPARTUM HEMORRHAGE; PRIORITY JOURNAL;

DENMARK; FEMALE; HUMANS; INFANT, NEWBORN; OBSTETRICS; PREGNANCY; QUALITY INDICATORS, HEALTH CARE;

EID: 79952961520     PISSN: 00016349     EISSN: 16000412     Source Type: Journal    
DOI: 10.1111/j.1600-0412.2011.01078.x     Document Type: Article

References (62)

1. Kesmodel US,. The Danish National Indicator Project, Deliveries- Documentalist's report (in Danish. No abstract available). 2010. http://www.nip.dk Last accessed 4 February 2011.
2. The Danish National Indicator Project. The Danish National Indicator Project-for measuring and improving healthcare services. Manual for the development of disease-specific quality indicators, standards and prognostic factors under The Danish National Indicator Project. Version 3.0. The Danish National Indicator Project (ed.) Aarhus, 2010. http://www.nip.dk.
3. Mainz J, Hansen A-M, Palshof T, Bartels P,. National Quality Measurement Using Clinical Indicators: The Danish National Indicator Project. J Surg Oncol. 2009; 99: 500-4.
4. Danish National Board of Health. Sundhedsdata-fÃdsler og fÃdselskomplikationer. [Health data-deliveries and birth complications] (in Danish), 2010. Available online at: http://www.sst.dk/ Indberetning%20og%20statistik/Sundhedsdata/Foedsler?fertilitetsbehandling?og? abort/foedsler4.aspx. Last accessed 4 February 2011.
5. Oxford Centre for Evidence-based Medicine. Levels of evidence. 2009. Available online at: http://www.cebm.net/index.aspx?o=1025. Last accessed 4 February 2011.
6. Ranta P, Spalding M, Kangas-Saarela T, Jokela R, Hollmén A, Jouppila P, et al,. Maternal expectations and experiences of labour pain-options of 1091 Finnish parturients. Acta Anaesthesiol Scand. 1996; 39: 60-6.
7. Capogna G, Alahuhtat S, Celleno D, De Vlieger H, Moreira J, Morgan B, et al,. Maternal expectations and experiences of labour pain and analgesia: a multicentre study of nulliparous women. Int J Obstet Anesthesiol. 1996; 5: 229-35. (Pubitemid 26345325)
8. Anim-Somuah M, Smyth RMD, Howell CJ,. Epidural versus non-epidural or no analgesia in labour. 2005. Cochrane Database Syst Rev. 2005;CD000331. DOI: 10.1002/14651858.CD000331.pub2.
9. Torvaldsen S, Roberts SL, Bell JC, Raynes-Greenow CH,. Discontinuation of epidural analgesia late in labour for reducing the adverse delivery outcomes associated with epidural analgesia. 2009. Cochrane Database Syst Rev. 2004;CD004457. DOI: 10.1002/14651858.CD004457.pub2.
10. Hodnett ED, Gates S, Hofmeyr GJ, Sakala C,. Continuous support for women during childbirth. 2009. Cochrane Database Syst Rev. 2007;CD003766. DOI: 10.1002/14651858.CD003766.pub2. (Pubitemid 351805471)
11. Nielsen NC, Nielsen HK, Hagedorn G, Weber T, Ottesen B, Wilken C, et al,. Den normale graviditet, fÃdsel og barselshvile. [The normal pregnancy, delivery and maternity ] (in Danish. No abstract available). 1999. Hvidovre, Denmark: Hvidovre Hospital.
12. Abramowitz L, Sobhani I, Ganansia R, Vuagnat A, Benifla JL, Darai E, et al,. Are sphincter defects the cause of anal incontinence after vaginal delivery. Dis Colon Rectum. 2000; 43: 590-6.
13. Parnell C, Langhoff-Roos J, Moller H,. Conduct of labor and rupture of the sphincter ani. Acta Obstet Gynecol Scand. 2001; 80: 256-61. (Pubitemid 32173563)
14. De Leeuw JW, Struijk PC, Vierhout ME, Wallenburg HC,. Risk factors for third degree perineal ruptures during delivery. BJOG. 2001; 108: 383-7. (Pubitemid 32269864)
15. Sultan AH, Kamm MA, Hudson CN, Thomas JM,. Anal sphincter disruption during vaginal delivery. N Engl J Med. 1993; 329: 1905-11. (Pubitemid 24003116)
16. Sultan AH, Kamm MA, Hudson CN, Bartram CI,. Third degree obstetric anal sphincter tears: risk factors and outcome of primary repair. BMJ. 1994; 308: 887-91.
17. Donnelly V, Fynes M, Campbell D, Johnson H, O'Connell PR, O'Herlihy C,. Obstetric events leading to anal sphincter damage. Obstet Gynecol. 1998; 92: 955-61. (Pubitemid 28536110)
18. Zetterstrom JP, Lopez A, Anzen B, Dolk A, Norman M, Mellgren A,. Anal incontinence after vaginal delivery: a prospective study in primiparous women. Br J Obstet Gynaecol. 1999; 106: 324-30. (Pubitemid 29150255)
19. FitzGerald MP, Weber AM, Howden N, Cundiff GW, Brown MB,. Risk factors for anal sphincter tear during vaginal delivery. Obstet Gynecol. 2007; 109: 29-34. (Pubitemid 46035506)
20. Kudish B, Blackwell S, Mcneeley SG, Bujold E, Kruger M, Hendrix SL, et al,. Operative vaginal delivery and midline episiotomy: a bad combination for the perineum. Am J Obstet Gynecol. 2006; 195: 749-54. (Pubitemid 44292144)
21. DSOG. Anal inkontinens og anal sphincter ruptur. [Anal incontinence and rupture of the anal sphincter ] (in Danish. No abstract available). 2004. Sandbjerg: DSOG Guideline.
22. Lucas DN, Yentis SM, Kinsella SM, Holdcroft A, May AE, Wee M,. Urgency of caesarean section: a new classification. J R Soc Med. 2000; 93: 346-50. (Pubitemid 30461807)
23. DSOG. Akut sectio-klassifikation, melding og organisation. [Acute cesarean section-classification,call and organisation ] (in Danish. No abstract available). 2009. Sandbjerg: DSOG Guideline.
24. National Collaborating Centre for Women's and Children's Health. Caesarean section. 2004. Clinical guideline no. 13. London: National Institute for Clinical Excellence.
25. Chauhan SP, Roach H, Naef RH, Magann EF, Morrison JC, Martin JNJ,. Cesarean section for suspected fetal distress. Does the decision-incision time make a difference? J Reprod Med. 1997; 42: 347-52. (Pubitemid 27294813)
26. Bloom SL, Leveno KJ, Spong CY, Gilbert S, Hauth JC, Landon MC, et al,. Decision-to-incision times and maternal and infant outcomes. Obstet Gynecol. 2006; 108: 6-11. (Pubitemid 44336838)
27. Joseph KS, Rouleau J, Kramer MS, Young DC, Liston RM, Baskett TF,. Investigation of an increase in post-partum haemorrhage in Canada. BJOG. 2007; 114: 751-9. (Pubitemid 46788638)
28. Cameron CA, Roberts CL, Olive EC, Ford JB, Fischer WE,. Trends in post-partum haemorrhage. Austr NZ J Obstet Gynaecol. 2006; 30: 151-6.
29. Razvi K, Chua S, Arulkumaran S, Ratnam SS,. A comparison between visual estimation and laboratory determination of blood loss during the third stage of labour. Austr NZ J Obstet Gynaecol. 1996; 36: 152-4. (Pubitemid 26160664)
30. Prasertcharoensuk W, Swadpanich U, Lumbiganon P,. Accuracy of the blood loss estimation in the third stage of labor. Int J Obstet Gynecol. 2000; 71: 69-70.
31. DSOG. Postpartum blÃdning. [Postpartum hemorrhage] (in Danish. No abstract available). 2006. DSOG. Available online at: http://www.dsog.dk/files/ post-partum?bloedning.pdf. Last accessed 4 February 2011.
32. Kjrgaard H, Olsen J, Ottesen B, Dykes A-K,. Incidence in outcomes of dystocia in the active phase of labor in term nulliparaous women with spontaneous labor onset. Acta Obstet Gynecol Scand. 2009; 88: 407.
33. Moore ER, Anderson GC, Bergman N,. Early skin-to-skin contact for mothers and their healthy newborn infants. 2007. Cochrane Database Syst Rev. 2007;CD003519. DOI: 10.1002/14651858.CD003519.pub2. (Pubitemid 351805486)
34. Casey BM, McIntire DD, Leveno KJ,. The continuing value of the Apgar score for the assessment of newborn infants. N Engl J Med. 2001; 344: 467-71. (Pubitemid 32164897)
35. Nelson KB, Ellenberg JH,. Apgar scores as predictors of chronic neurologic disability. Pediatrics. 1981; 68: 36-44. (Pubitemid 11061361)
36. Nagel HTC, Vandenbussche FPHA, Oepkes D, Jennekens-Schinkel A, Laan LAEM, Gravenhorst JV,. Follow-up of children born with an umbilical arterial blood pH <7. Am J Obstet Gynecol. 1995; 173: 1758-64. (Pubitemid 26005758)
37. Goldaber KG, Gilstrap LC, Leveno KJ, Dax JS, McIntire DD,. Pathologic fetal acidemia. Obstet Gynecol. 1991; 78: 1103-7.
38. Goodwin TM, Belai I, Hernandez P, Durand M, Paul RH,. Asphyxial complications in the term newborn with severe umbilical acidemia. Am J Obstet Gynecol. 1992; 167: 1506-12. (Pubitemid 23009277)
39. Thorp JA, Rushing RS,. Umbilical cord blood gas analysis. Obstet Gynecol Clin North Am. 1999; 26: 695-709.
40. Victory R, Penava D, da Silva O, Natale R, Richardson B,. Umbilical cord pH and base excess values in relation to neonatal morbidity for infants delivered preterm. Am J Obstet Gynecol. 2003; 189: 803-7. (Pubitemid 37194110)
41. Victory R, Penava D, da Silva O, Natale R, Richardson B,. Umbilical cord pH and base excess values in relation to adverse outcome events for infants delivering at term. Am J Obstet Gynecol. 2004; 191: 2021-8. (Pubitemid 39601508)
42. Andres RL, Saade G, Gilstrap LC, Wilkins I, Witlin A, Zlatnik F, et al,. Association between umbilical blood gas parameters and neonatal morbidity and death in neonates with pathologic fetal acidemia. Am J Obstet Gynecol. 1999; 181: 867-71. (Pubitemid 29503606)
43. DSOG. Intrapartal acidose-asfyksi. [Intrapartal acidosis-asfyxia] (in Danish. No abstract available). 2010. Available online at: http://www.dsog.dk/. Last accessed 4 February 2011.
44. Mann S, Pratt S, Gluck P, Nielsen P, Risser D, Greenberg P, et al,. Assessing quality in obstetrical care: development of standardized measures. Jt Comm J Qual Patient Saf. 2006; 32: 497-505.
45. Chalmers B, Porter R,. Assessing effective care in normal labor: the Bologna score. Birth. 2001; 28: 79-83. (Pubitemid 33755152)
46. Murphy PA, Fullerton JT,. Measuring outcomes of midwifery care: Development of an instrument to assess optimality. J Midwifery Womens Health. 2001; 46: 274-84.
47. Wiegers TA, Keirse MJ, Berghs GA, Van Der Zee J,. An approach to measuring quality of midwifery care. J Clin Epidemiol. 1996; 49: 319-25. (Pubitemid 26149653)
48. Murphy PA, Fullerton JT,. Development of the optimality index as a new approach to evaluating outcomes of maternity care. J Gynecol Neonatal Nursing. 2006; 35: 770-8.
49. Low LK, Miller J,. A clinical evaluation of evidence-based maternity care using the optimality index. J Gynecol Neonatal Nursing. 2006; 35: 786-93.
50. Flenady V, King JF,. Antibiotics for prelabour rupture of membranes at or near term. 2009. Cochrane Database Syst Rev. 2008;CD001807. DOI: 10.1002/14651858.CD001807.
51. RCOG. Prevention of early onset neonatal group B streptococcal disease. 2003. Green Top Guideline no. 36.
52. DSOG. PROM-primÃ∥r vandafgang ved/nÃ∥r termin. [PROM-primary rupture of membranes at/near term ] (in Danish. No abstract available). 2009. Sandbjerg: DSOG Guideline.
53. Benitz WE, Gould JB, Druzin ML,. Risk factors for early-onset group b streptococcal sepsis: estimation of odds ratios by critical literature review. Pediatrics. 1999; 103: e77.
54. Selective intrapartum chemoprophylaxis of neonatal group B streptococcal early-onset disease. I. Epidemiologic rationale. J Infect Dis. 1983; 148: 795-801.
55. Svensk Förening för Obstetrik och Gynekologi, Svenska Barnmorskeförbundet. CTG och fosterövervakning. [CTG and suveillance of the fetus] (in Swedish. No abstract available). 2009. Available online at: www.ctgutbildning.se. Last accessed 4 February 2011.
56. Carroli G, Mignini L,. Episiotomy for vaginal birth. 2008. Cochrane Database Syst Rev. 2008;CD000081. DOI: 10.1002/14651858.CD000081.pu.
57. Henriksen TB, Bek KM, Hedegaard M, Secher NJ,. Episiotomy and perineal lesions in spontaneous vaginal deliveries. Br J Obstet Gynaecol. 1992; 99: 950-4.
58. Cotter AM, Ness A, Tolosa JE,. Prophylactic oxytocin for the third stage of labour. 2001. Cochrane Database Syst Rev. 2001;CD001808. DOI: 10.1002/14651858.CD001808.
59. Liabsuetrakul T, Choobun T, Peeyananjarassri K, Islam QM,. Prophylactic use of ergot alkaloids in the third stage of labour. 2010. Cochrane Database Syst Rev. 2007;CD005456. DOI: 10.1002/14651858.CD005456.pub2. (Pubitemid 351805889)
60. Hofmeyr GJ, Smaill FM,. Antibiotic prophylaxis for cesarean section. 2010. Cochrane Database Syst Rev. 2002;CD000933. DOI: 10.1002/14651858.CD000933.
61. Knudsen LB, Olsen J,. The Danish Medical Birth Registry. Dan Med Bull. 1998; 45: 320-3. (Pubitemid 28313542)
62. Nicholl J,. Case-mix adjustment in non-randomised observational evaluations: the constant risk fallacy. J Epidemiol Community Health. 2007; 61: 1010-13. (Pubitemid 350032599)